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Development of a Virtual Reality Assessment of Everyday Living Skills

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Published on: April 23, 2014

Activity groups for people with schizophrenia: a randomized controlled trial.

Madeleine Dean¹, Adam R W Weston, David P Osborn

¹Centre for Mental Health, Imperial College London , London, UK .

Journal of Mental Health (Abingdon, England)

|March 26, 2014

Summary

Social activity groups for schizophrenia patients did not improve global functioning. While mental health symptoms slightly improved, poor attendance limited overall clinical benefits in this randomized trial.

Keywords:

Activity group randomized controlled trial schizophrenia

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Published on: November 21, 2013

Area of Science:

Psychiatry
Clinical Psychology
Social Psychiatry

Background:

UK guidelines advocate social activities for schizophrenia patients.
Large-scale randomized trials on the impact of these interventions are lacking.

Purpose of the Study:

To evaluate the effect of an activity group intervention on mental health and global functioning in schizophrenia patients.
Comparison was made between activity groups and standard care alone at 12 months post-randomization.

Main Methods:

Secondary analysis of data from the MATISSE study.
Primary outcomes included global functioning (Global Assessment of Functioning - GAF) and mental health symptoms (Positive and Negative Syndrome Scale - PANSS).

Main Results:

140 participants were randomized to activity groups and 137 to standard care.
Mental health symptoms improved significantly in the activity group (PANSS score change: -6.0), but global functioning did not (GAF score change: 0.8).
No significant differences in primary outcomes were observed between the treatment arms.

Conclusions:

Offering activity groups to schizophrenia patients yielded no additional clinical benefits.
Poor uptake and attendance at activity groups were noted.
Interventions targeting negative symptoms may enhance engagement in psychosocial interventions.